king's theory of goal attainment for nurses has four parts:
- assessment phase - the nurse and patient begin to interact and communicate with each other as well as to make judgments about each other
- planning phase - the nurse begins to identify problems and concerns that the patient has through the interactions with him. together they formulate goals to resolve these problems and concerns and work on possible solutions.
- implementation phase - the plan developed is put into action with the focus being the achievement of the goals
- evaluation phase - the final step of the process in which the nurse and patient both decide whether or not goals were or were not achieved
how does this apply to my current practice setting? well, here in the u.s., most places focus on the nursing process. the nursing process is very similar to king's goal attainment theory. it also involves four steps:
i believe that the major difference is that king focuses on the relationship that develops between the patient and nurse
. she clearly states that in her theory the patient and the nurse reach decisions in all the four phases of her goal attainment process together
. so, the interpersonal interaction between the patient and the nurse is critical to her theory. this is not necessarily true of the way the nursing process is practiced in reality--at least not here in the u.s. we assess the patient, plan and implement care based on what we observe about the patient. gaining patient agreement and cooperation is usually an afterthought. i'm not sure how nurses practice in hong kong.
i hope that is helpful for you. i'm usually not good with these nursing theory questions, but i do happen to know a little about king's theory.
welcome to allnurses!